Lymphoma and Leukemia: Types & Pathologies
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Questions and Answers

A pathologist identifies Reed-Sternberg cells in a lymph node biopsy. Which type of lymphoma is most likely?

  • Non-Hodgkin's Lymphoma
  • Hodgkin's Lymphoma (correct)
  • Follicular Lymphoma
  • Burkitt's Lymphoma

A patient presents with a lymphoma characterized by the translocation between chromosome 14 and 18. Which of the following genes is most likely overexpressed in this condition?

  • MYC
  • BCL6
  • BCL2 (correct)
  • Cyclin D1

A 62-year-old European male is diagnosed with lymphoma. Immunohistochemistry reveals cells expressing CD20, CD5, and Cyclin D1. Which type of lymphoma is most likely?

  • Burkitt's Lymphoma
  • MALT Lymphoma
  • Mantle Cell Lymphoma (correct)
  • Follicular Lymphoma

A pediatric patient is diagnosed with a rapidly progressing lymphoma displaying a 'starry sky' appearance on microscopic examination. Which type of lymphoma is most likely?

<p>Burkitt's Lymphoma (B)</p> Signup and view all the answers

Which hematologic cancer is characterized by the proliferation of plasma cells?

<p>Multiple Myeloma (B)</p> Signup and view all the answers

A patient is diagnosed with a lymphoma that originates from B cells and presents with a similar appearance to a gastric ulcer. Which type of lymphoma is most likely?

<p>MALT Lymphoma (C)</p> Signup and view all the answers

A lab technician notices the presence of follicle center B-cells (centrocytes and centroblasts) in a sample. Which type of lymphoma is most likely to be suspected?

<p>Follicular Lymphoma (C)</p> Signup and view all the answers

Which of the following patient populations has the highest incidence of plasmacytoma?

<p>African-American men (D)</p> Signup and view all the answers

A patient presents with fever, night sweats, and unexplained weight loss. Enlarged lymph nodes are detected, and a biopsy confirms the presence of cancerous cells. Which lymphoma is most associated with involvement of the jaw and other facial bones?

<p>Burkitt's Lymphoma (B)</p> Signup and view all the answers

A patient is diagnosed with Multiple Myeloma. Which of the following findings is LEAST likely to be associated with this diagnosis?

<p>Enlarged lymph nodes (A)</p> Signup and view all the answers

What is the initial diagnostic procedure for a patient suspected of having leukemia, based on symptoms such as fatigue and frequent infections?

<p>Peripheral blood and bone marrow examination (A)</p> Signup and view all the answers

Which of the following lymphomas is most associated with H. pylori infection?

<p>MALT Lymphoma (C)</p> Signup and view all the answers

A patient is diagnosed with B-cell Chronic Lymphocytic Leukemia. Where do these cancers originate?

<p>Bone marrow (C)</p> Signup and view all the answers

What is the primary goal of treatment for Acute Myelogenous Leukemia (AML)?

<p>Eradicating the leukemic cells and achieving remission. (D)</p> Signup and view all the answers

Which treatment approach is common across Hodgkin's Lymphoma, Non-Hodgkin's Lymphoma, Follicular Lymphoma, Mantel Cell Lymphoma, and Burkitt's Lymphoma?

<p>Radiation (C)</p> Signup and view all the answers

What is the most appropriate diagnostic test to confirm Multiple Myeloma?

<p>Serum electrophoresis (D)</p> Signup and view all the answers

Flashcards

Hodgkin's Lymphoma

A type of cancer originating in lymphocytes, characterized by Reed-Sternberg cells.

Non-Hodgkin's Lymphoma (NHL)

A diverse group of cancers that originate in lymphocytes, excluding Hodgkin's lymphoma.

Follicular Lymphoma

The second most common type of Non-Hodgkin's lymphoma, arising from follicle center B-cells.

Burkitt's Lymphoma

A type of Non-Hodgkin's lymphoma that originates in B cell lymphocytes, often aggressive.

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Multiple Myeloma

A cancer of plasma cells, the second most common hematological malignancy in the US.

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Acute Lymphoblastic Leukemia (ALL)

A type of leukemia that primarily affects lymphocytes, especially in children.

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Chronic Myelogenous Leukemia (CML)

A type of leukemia that affects the myeloid line of cells, characterized by the Philadelphia chromosome.

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Reed-Sternberg Cells

Multinucleated cells seen in Hodgkin's lymphoma; indicative of the disease.

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Non-Hodgkin's Lymphoma

A diverse group of blood cancers including all types of lymphoma except Hodgkin's.

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B-cell Chronic Lymphocytic Leukemia

A slowly progressing leukemia that originates in B cells of the immune system.

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Acute Myelogenous Leukemia (AML)

A rapid cancer of the blood and bone marrow, needs urgent treatment.

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Study Notes

Lymphoma Types and Pathologies

  • Hodgkin's Lymphoma: Cancer originating in lymphocytes.
  • Non-Hodgkin's Lymphoma (NHL): Cancer originating in lymphocytes.
  • Follicular Lymphoma (2nd most common NHL): Cancer originating in lymphocytes.
  • Mantle Cell Lymphoma (rarest NHL): Cancer originating in B cell lymphocytes.
  • Burkitt's Lymphoma: Cancer originating in B cell lymphocytes.
  • MALT Lymphoma: Cancer originating in B cell lymphocytes.
  • Multiple Myeloma (2nd most common hematological malignancy in US after NHL): Cancer of plasma cells.

Leukemia Types and Pathologies

  • Acute Lymphoblastic Leukemia (ALL): Cancer of lymphocytes.
  • B-cell Chronic Lymphocytic leukemia: Cancer of B lymphocytes.
  • Acute Myelogenous Leukemia (AML): Cancer of myeloid line of cells.
  • Chronic Myelogenous Leukemia (CML): Cancer of myeloid line of cells, a type of myeloproliferative disease.

Lymphoma Causes, Effects, and Diagnostics

  • Infection with EBV: May increase risk of lymphoma, systemic symptoms. Biopsy used to diagnose.
  • Translocations (e.g., chromosome 14 & 18 or chromosome 11 & 14): Overexpression of genes linked to immortality of cells. Biopsy is a diagnostic tool.
  • Endemic/sporadic immunodeficiency (e.g., HIV, EBV infections): Involves jaw and other facial bones, distal ileum, cecum, ovaries, kidney, and/or breat. Biopsy used to diagnose.
  • Mucosa-associated lymphoid tissue (MALT) chronic inflammation/H. pylori: Commonly found in the stomach. Endoscopy is a diagnostic method.
  • Production of paraprotein: Kidney problems, bone lesions, and hypercalcemia may occur. Biopsy, electrophoresis, and urine/blood tests help diagnose.

Lymphoma and Leukemia Treatment and Survival

  • Treatments: Radiation, chemotherapy, and stem cell transplant. Treatment varies based on the specific type of cancer.
  • Survival: Survival rates vary significantly between different types of lymphoma and leukemia. Some types have high 5-year survival rates, others are not considered curable.

Lymphoma and Leukemia Characteristics and Populations

  • Clinical Findings: Various lab findings and patient populations show differences based on disease type. For example, multinucleated Reed-Sternberg cells are a sign of Hodgkin's lymphoma, which usually affects younger people. Different cell types are linked with different types of lymphoma or leukemia, depending on the disease subtype.
  • Other characteristics: Such as abnormal lymphocytes, lymphoblasts, basophils, eosinophils, RBC, platelets etc.

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Description

Explore the types and pathologies of lymphoma and leukemia, including Hodgkin's and Non-Hodgkin's lymphoma, as well as various forms of leukemia such as ALL, AML and CML. Learn about the origin and characteristics of each condition.

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